22 Dec Discussion: Thrombocytopen Purpura Discussion: Thr
Discussion: Thrombocytopen Purpura Discussion: Thrombocytopen Purpura ORDER NOW FOR AN ORIGINAL PAPER ASSIGNMENT:Discussion: Thrombocytopen Purpura FNU Pathophysiology Quiz Question 1 Discussion: Thrombocytopenic Purpura(ITP) A 70-year-old woman has received a diagnosis of chronic myelogenous leukemia (CML) after a clinical investigation sparked by the presence of leukocytosis in her routine blood work. What clinical course should her care provider tell her to expect? Answers: Discussion: Thrombocytopen Purpura A. “It’s likely that this will give you chronic fatigue and malaise for the rest of your life, but that will probably be the extent of your symptoms.” B. “Unfortunately, your leukemia will likely enter a crisis mode within a few weeks if we don’t treat it immediately.” C. “You could remain the chronic stage of CML for several years before it accelerates and culminates in a crisis.” D. “You can expect your blood results, fatigue, and susceptibility to infection to gradually worsen over a few years.” Question 2 Following an injury resulting in a small cut from a knife, the first cells to go to the area of the cut would be the Answers: Discussion: Thrombocytopenic Purpura(ITP) A. erythrocytes. B. basophils. C. neutrophils. D. albumin. Question 3 Which of the following diagnostic findings is likely to result in the most serious brain insult? Answers: A. Moderate decrease in brain tissue volume secondary to a brain tumor removal B. High intracellular concentration of glutamate C. Increased ICP accompanied by hyperventilation D. Mean arterial pressure (MAP) that equals intracranial pressure (ICP) Question 4 Which of the following patients would be most likely to be experiencing an increase in renal erythropoietin production? Answers: A. A 70-year-old woman admitted with dehydration secondary to an overdose of her potassium-wasting diuretic B. A 21-year-old man with acute blood loss secondary to a motor vehicle accident 3 hours prior C. A 68-year-old man with a long-standing diagnosis of polycythemia vera D. A 71-year-old smoker admitted to hospital with exacerbation of his chronic obstructive pulmonary disease (COPD) Question 5 A college student has been experiencing frequent headaches that he describes as throbbing and complaining of difficulty concentrating while studying. Upon cerebral angiography, he is found to have an arteriovenous malformation. Which of the following pathophysiological concepts is likely responsible for his symptoms? Answers: A. Localized ischemia with areas of necrosis noted on CT angiography B. High pressure and local hemorrhage of the venous system C. Hydrocephalus and protein in the cerebral spinal fluid D. Increased tissue perfusion at the site of the malformation Question 6 A group of nursing students were studying for their pathophysiology exam by quizzing each other about disorders of WBCs and lymphoid tissue. When asked what the first chromosomal abnormality that identified cancer was, one student correctly answered Answers: A. interleukin cells. B. Philadelphia. C. PSA. D. BRCA-1. Question 7 A 47-year-old woman was diagnosed with amyotrophic lateral sclerosis 3 years ago and has experienced a progressive onset and severity of complications. She has been admitted to a palliative care unit due to her poor prognosis? What assessments and interventions should the nursing staff of the unit prioritize in their care? Answers: A. Regular pain assessment and administration of opioid analgesics as needed B. Cardiac monitoring and administration of inotropic medications C. Assessment and documentation of cognitive changes, including confusion and restlessness D. Assessment of swallowing ability and respiratory status Question 8 A 53-year-old man presents with inability to concentrate, itching in his fingers and toes, elevated blood pressure, and unexplained weight loss. He is diagnosed with primary polycythemia. What will be the primary goal of his treatment? Answers: A. To increase the amount of oxygen distributed by his red blood cells B. To reduce the viscosity of his blood C. To reduce the mean size of his red cells D. To control his hypertension Question 9 During a late night study session, a pathophysiology student reaches out to turn the page of her textbook. Which of the following components of her nervous system contains the highest level of control of her arm and hand action? Answers: A. Thalamus B. Cerebellum C. Frontal lobe D. Basal ganglia Question 10 The family members of an elderly patient are wondering why his “blood counts” are not rising after his last GI bleed. They state, “He has always bounced back after one of these episodes, but this time it isn’t happening. Do you know why?” The nurse will respond based on which of the following pathophysiological principles? Answers: A. “Don’t worry about it. We can always give him more blood.” B. “Due to stress, the red blood cells of older adults are not replaced as promptly as younger people.” C. “Everything slows down when you get older. You just have to wait and see what happens.” D. “The doctor may start looking for another cause of his anemia, maybe cancer of the bone.” Question 11 A 44-year-old female patient presents to the emergency department with abnormal bleeding and abdominal pain that is later attributed to gallbladder disease. Which of the following diagnoses would the medical team be most justified in suspecting as a cause of the patient’s bleeding? Answers: A. Hemophilia B B. Vitamin K deficiency C. Excess calcium D. Idiopathic immune thrombocytopenic purpura (ITP) You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes. Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages. Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor ADDITIONAL INSTRUCTIONS FOR THE CLASS Discussion Questions (DQ) Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses. Weekly Participation Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week. APA Format and Writing Quality Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition. Use of Direct Quotes I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source. LopesWrite Policy For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score. Late Policy The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading. Communication Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.
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